How to go ahead??
patient had come with unstable left lower limb history of rta 1yr back, sustained open injury of left lower end of tibia fracture. treated elsewhere with external fixator and flap coverage. what can be done??
Gap nonunion tibia LRS and bone transport an option Fibula management depends on presence or absence of infection If no infection, retrograde intramedullary nail to maintain alignment: Definitive fixation after tibial bone transport Ankle joint may be fused Check movements
Thank you doctor. There is no infection but skin is not good and adherent to bone post skin flap. Ankle movements are there slightly restricted may be due to disuse. I was considering fibular osteotomy and strut grafting along with iliac bg stabilization with ilizarov's for later lengthening procedure.
Cases that would interest you
- Login to View the image
60 year old male without neuro vascular deficit What is preferred operative management, dhs/ pfn?
Dr. Pranay Mahalle1 Like24 Answers - Login to View the image
7yr old boy h/o multiple recurrent fractures.. Characteristic bluish discoloration of eye present. D/d : osteogenic imperfecta..
Naval Kishore2 Likes23 Answers - Login to View the image
16 years old male patient came to clinic with complaint Rt hip pain and limping 3 years ago ..share your diagnosis and management ?
Dr. Deepak Raina2 Likes20 Answers - Login to View the image
46/m, RTA 1 day back, hemodynamically stable. no other injury, chest good. no neurovascular deficit, no comorbidities. planning to nail. PFN? or standard femur interlocking will suffice?
Dr. Sameer Rathore0 Like26 Answers - Login to View the image
Thank you Qurofy and all my friend Curofians for your kind support and recognition of my long experience in Radiology,I am in receipt of such certificate for the second time..
Dr. Syam Sundar Patro12 Likes24 Answers
2 Likes